[Remote] Backend Lead Engineer

Note: The job is a remote job and is open to candidates in USA. Medecision is seeking a Backend Lead Engineer to provide day-to-day technical leadership for their API team. This role involves converting architectural vision into scalable, production-ready APIs and services while ensuring security, reliability, and interoperability of the platform.ResponsibilitiesLead API design and implementation for internal platform services, partner integrations, and interoperability workflowsTranslate architecture and security standards into concrete service patterns, interface contracts, and coding standards for the teamDesign and develop FHIR-based APIs, including resource mapping, validation, and interoperability workflowsLead the technical implementation of MCP wrappers around key APIs and services, enabling AI-driven agents to safely access approved tools and dataConduct design and code reviews; mentor backend, DevOps, and QA team membersCollaborate with architects to enforce security best practices, auditability, tenant isolation, and operational reliability across deploymentsSkills7-10 years of backend or API engineering experience with demonstrable technical leadershipProven expertise designing RESTful APIs, including service contracts, versioning strategies, error handling, and scalabilityHands-on experience with FHIR APIs and healthcare interoperability standardsExperience building or exposing APIs and services to support AI or agent-based workflows; familiarity with MCP is strongly preferredProficient with GCP services such as Cloud Run, GKE, Pub/Sub, Cloud SQL, API Gateway, IAM, logging, and monitoringExcellent communication skills, with the ability to guide and lead execution in a fast-paced environmentBackground in healthcare, payer operations, or working with regulated data environmentsFamiliarity with event-driven architectures and asynchronous processing patternsJava Development: Strong proficiency in Java, including frameworks such as Spring Boot for building RESTful APIsAPI Gateway Management: Experience with Kong, Apigee or similar API Gateway for configuring, deploying, and managing APIs, including plugins for authentication, rate limiting, and monitoringContainerization and Orchestration: Experience with Docker for containerizing Java applications and Kubernetes for orchestration in GCP environmentsSecurity: Knowledge of API security best practices, including OAuth2, JWT tokens, API keys, and encryption both in transit and at restCI/CD Pipelines: Experience designing and implementing continuous integration and continuous deployment (CI/CD) pipelines using tools like Jenkins, GitLab CI, or Google Cloud BuildMonitoring and Logging: Familiarity with monitoring tools such as Prometheus, Grafana, Google Cloud Monitoring, and centralized logging with Google Cloud Logging or ELK StackNetworking and Load Balancing: Understanding of networking concepts within GCP, including Virtual Private Cloud (VPC), firewall rules, and load balancing for API traffic managementAPI Design and Documentation: Experience with API specification standards such as OpenAPI/Swagger and tools for API documentation and testing (e.g., Postman)Company OverviewMEDecision provides collaborative health care management solutions for clients. It was founded in 1988, and is headquartered in Wayne, Pennsylvania, USA, with a workforce of 201-500 employees. Its website is http://www.medecision.com.Company H1B SponsorshipMedecision has a track record of offering H1B sponsorships, with 1 in 2025, 3 in 2023, 3 in 2022, 6 in 2021, 7 in 2020. Please note that this does not guarantee sponsorship for this specific role.